Missouri Quarterly Contribution Form PDF Details

The Missouri Quarterly Contribution and Wage Adjustment Report is a critical document for employers in the state, prepared for submission to the Missouri Department of Labor and Industrial Relations, particularly within the Division of Employment Security. This form serves multiple functions, chief among them being the adjustment of summary totals and wage data that employers have previously reported. Employers are required to report adjustments for each quarter for each separate account number assigned, indicating the meticulous nature in which contributions and wage details must be handled. The form necessitates the inclusion of vital information such as the employer's name and address, Missouri Employer Account Number, contribution rate for the quarter being adjusted, and detailed reasoning for any claimed adjustments, ensuring no adjustments are accepted without complete justifications. It provides a structured format for correcting previously reported wages or social security numbers for individual employees, underscoring the importance of accuracy in employment records. In cases where additional contributions are due or a credit is due based on the adjustments, employers are guided on how to calculate these amounts. Furthermore, the statute of limitations imposes a three-year period from the due date of the quarter being adjusted for filing a claim for refund or credit, highlighting the need for timely compliance by businesses. This report underscores the state's commitment to maintaining accurate employment records and ensuring proper contribution levels to the state's employment security funds.

QuestionAnswer
Form NameMissouri Quarterly Contribution Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesquarterly contribution wage report mo, missouri quarterly wage report, missouri division of employment security quarterly contribution and wage report, fillable missouri quarterly contribution wage report

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MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS

EAU ADJX

DIVISION OF EMPLOYMENT SECURITY

CASE ID

P.O. Box 59, Jefferson City, MO 65104-0059

 

CONTRIBUTION & WAGE ADJUSTMENT REPORT FOR QUARTER ENDING

Adjustments may be submitted online at www.ustar.labor.mo.gov by registering with the password printed on the quarterly report.

STATUTE OF LIMITATIONS

A claim for refund or credit must be filed within three years of the due date of the quarter being adjusted.

1. Employer Name and Address

2. Missouri Employer Account Number

3. Contribution Rate

 

 

 

4. Reason for Claiming Adjustment

Note: Adjustment will not be accepted if this portion is not completed.

 

 

A.

B.

C.

Audit Block

 

 

Previously Reported

Correct

Difference - Over or

AGENCY USE

 

 

for Quarter

Totals

Under-Reported

ONLY

5.

Total Wages Paid

 

 

 

 

 

 

 

 

 

 

6.

Wages in Excess of $

 

 

 

 

 

 

 

 

 

 

7.

Taxable Wages

 

 

 

 

 

 

 

 

 

 

8.

Contributions Due

 

 

 

 

 

 

 

 

 

 

9.

Interest Due

 

 

 

 

 

 

 

 

 

 

10.

Total Payment Due

 

 

 

 

 

 

 

 

 

 

11.

Additional Amounts Due

 

 

 

 

 

 

 

 

12.

Credit Due

 

 

 

 

 

 

 

 

 

Enter below ONLY those employees whose wages or social security number are being corrected.

NOTE: If you are adjusting more than five (5) employees, list the items on a separate page with the same format, including employer name and account number.

13.

Worker's

14.

Worker's Name

 

Total Wages Paid

Audit Block

 

Social Security

First

Middle

 

 

15.

As

16.

As

AGENCY USE

 

Number

Initial

Initial

 

Last

 

Reported

 

Corrected

ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. TOTALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. DIFFERENCES ( + or - )

 

 

 

 

 

 

 

 

 

I certify that the foregoing information is true and correct.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19. Signature

 

 

 

 

 

 

Date

 

 

Title

Phone Number (Area Code)

(READ FOLLOWING INSTRUCTIONS)

MODES-4A (08-11) AI

Cont.

Instructions for Preparation of Contribution and Wage Adjustment Report

This adjustment report is to be used for the purpose of adjusting summary total and wage data previously reported. A separate report is to be used for each quarter to be adjusted and for each separate account number assigned.

Enter at the top of form the ending date of the calendar quarter for which the report is being filed. It is recommended Items 13 through 18 be completed prior to completing Items 5 through 12.

1.Type or print employer’s name and address.

2.Enter the 14-digit Missouri Division of Employment Security employer account number.

3.Enter the contribution rate for the calendar quarter being adjusted.

4.Enter the full facts to support the claim for adjustment. As an example, do not say “reported in error” but explain why the wages were reported in error.

5, 6, 7, 8, 9 & 10. Column A. Enter the totals previously reported on the employer’s Quarterly Contribution and Wage Report, or latest Contribution and Wage Adjustment Report for the quarter.

Column B. Enter the correct totals which should have been reported for the quarter. Column C. Enter the difference between Column A and Column B.

The first $11,000 in wages paid to a worker by an employer is taxable in 2006 & 2007. The wage base for calendar year 2008 is $12,000.00. For 2009 the wage base is $12,500.00. For 2010 the wage base is $13,000.

SAMPLE WORKSHEET FOR COMPUTING EXCESS WAGES (Sample based on $13,000)

 

 

FIRST QUARTER

 

SECOND QUARTER

THIRD QUARTER

 

FOURTH QUARTER

Social

 

Total

Excess

 

Total

Excess

 

Total

Excess

 

Total

Excess

 

Security

 

Wages for

of

Taxable

Wages for

of

Taxable

Wages for

of

Taxable

Wages for

of

Taxable

Number

Name

Quarter

$13,000

Wages

Quarter

$13,000

Wages

Quarter

$13,000

Wages

Quarter

$13,000

Wages

111-11-1111

John Doe

12,000.00

-0-

12,000.00

12,000.00

11,000.00

1.000.00

12,000.00

12,000.00

-0-

12,000.00

12,000.00

-0-

222-22-2222

Mary Doe

4,000.00

-0-

4,000.00

4,000.00

-0-

4,000.00

4,000.00

-0-

4,000.00

4,000.00

3,000.00

1,000.00

Totals for Qtr.

16,000.00

-0-

16,000.00

16,000.00

11,000.00

5.000.00

16,000.00

12,000.00

4,000.00

16,000.00

15,000.00

1,000.00

Enter on Line:

(4)

-5

(6)

(4)

-5

(6)

(4)

-5

(6)

(4)

(5)

-6

11.If this report indicates additional contributions are due, this figure would be Item 10, Column B less Column A. (Make remittance payable to the Division of Employment Security.)

12.If this report indicates a credit is due, this figure would be Item 10, Column A less Column B.

13.Enter the worker’s social security number.

14.Enter the worker’s name (first initial, middle initial and surname) whose wages are being adjusted.

15.Enter the Total Wages Paid previously reported for the worker for the quarter.

16.Enter the correct Total Wages Paid to the worker for the quarter.

17.Enter the total of all entries made in Items 15 & 16.

18.Enter the difference between Items 15 & 16. If Item 15 is more than Item 16, a minus sign should precede the difference. If Item 15 is less than Item 16, a plus sign should precede the difference.

19.This form must be signed by a responsible and duly authorized person.

If there are more than seven workers’ wages to be adjusted, a separate page with the same format as above, including employer name and account number, should be completed. For assistance in completing this form, please call (573) 751-1995.

Mail original of this form to:

ATTN: Employer Accounts Unit

 

Division of Employment Security

 

P.O. Box 59

 

Jefferson City, MO 65104-0059

MODES-4A-2 (08-11) AI